BackTable Vascular & Interventional Ep. 490 Uterine Fibroid Embolization: My Algorithm with Dr. Gary Siskin
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Oct 22, 2024 Dr. Gary Siskin, an esteemed UFE practitioner and professor at Albany Med, shares his expertise on uterine fibroid embolization. He discusses the evolution of fibroid treatment and the importance of collaboration with gynecologists. The episode delves into procedural insights, such as embolic agent selection and accessing uterine arteries, emphasizing patient-specific considerations for treatment. Siskin also highlights pain management and post-operative care strategies, advocating for patient education to promote awareness of this minimally invasive option.
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Becoming the "GYN Guy"
- Dr. Gary Siskin's focus on GYN-related IR procedures began unexpectedly.
- His mentioning of fallopian tube recanalizations during his first day as an attending led to him being designated the "GYN guy."
Building a Fibroid Practice
- Invite referring physicians to observe a UFE procedure.
- Educate residents on the GYN side about UFE.
Symptom-Specific UFE Outcomes
- UFE yields excellent results for bleeding symptoms, especially with small to medium-sized fibroids.
- Bulk symptom improvement is more variable, especially with large fibroids, requiring careful patient counseling.